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                         April 13, 2021

       Marc Oczachowski
       Chief Executive Officer and Chairman
       EDAP TMS S.A.
       Parc d'Activiti  s la Poudrette-Lamartine
       4/6, rue de Dauphin
       69120 Vaulx-en-Velin, France

                                                        Re: EDAP TMS S.A.
                                                            Registration
Statement on Form S-3
                                                            Filed April 7, 2021
                                                            File No. 333-255101

       Dear Mr. Oczachowski:

              This is to advise you that we have not reviewed and will not
review your registration
       statement.

               Please refer to Rules 460 and 461 regarding requests for
acceleration. We remind you
       that the company and its management are responsible for the accuracy and
adequacy of their
       disclosures, notwithstanding any review, comments, action or absence of
action by the staff.

                                                        Please contact Abby
Adams at (202) 551-6902 with any questions.




                         Sincerely,


                         Division of Corporation Finance

                         Office of Life Sciences
       cc:                                              Peter E. Devlin, Esq.